FAQs - Dermatology

A. Ultherapy

Ultherapy is a nonsurgical alternative to a facelift. It’s used to counteract signs of aging like skin sagging and wrinkles on the face, neck, and chest as well as drooping of the brow area. The FDA-cleared technology stimulates collagen production, which should create a more youthful look overall.

The popularity of nonsurgical skin tightening procedures such as Ultherapy has been consistently growing over the past several years, with an 11.6 percent increase from 2015 to 2016.

Ultherapy targets areas beneath the skin with focused ultrasound energy, using the right temperature to support collagen regeneration. The heat energy from the applicator is aimed at different depths, affecting three layers:

  • muscle
  • skin
  • superficial wrinkles

The ultrasound energy stimulates collagen and elastic tissue, which should result in firmer skin, less sagging, and fewer wrinkles.

A surgery-free micro lift is precisely what Ultherapy purports to offer. 

Swapping the tools of more invasive methods for an ultrasound wand, the procedure harnesses heat produced by precisely targeted sonic waves to startle slacking collagen into rebuilding, which in turn tightens and lifts skin and underlying tissues.

The cutting-edge technology might be a giant leap toward making the scalpel obsolete — but pain is still a very real possibility. One of the most common complaints about Ultherapy is discomfort, with some patients reporting that even though they love the results, they wouldn’t undergo it again for that reason alone. The company, in fact, recently addressed these concerns by adjusting the intensity of the procedure to minimize the risk of pain. But while I’d braced myself for the worst, pain was not a part of my experience — or at least it didn’t have a starring role.

When it comes to preparing ourselves for Ultherapy, there is not much that we will be required to do. However, we will first need to see our doctor or dermatologist to discuss our current skin condition, the procedure itself, as well as our expectations.

Apart from that, we will only have to schedule a date for the treatment. Also, we should refrain from using makeup and skin-care products one day before the procedure.

Right before the procedure, our medical technician will start the process by cleaning the areas that will be treated. That means getting rid of any residue on the skin. Next, they will apply a gel that they will use with an ultrasound viewer.

Finally, the technician will place the device against our skin and Ultherapy will begin. In order to make sure that the device has been set properly and that it is indeed reaching our target areas, they will monitor the whole process with the ultrasound view.

Ultherapy itself is not particularly painful. During the treatment, we will feel a couple of short, quick bursts of heat and/or some tingling. If we don’t like experiencing any pain, we can take an over-the-counter painkiller before coming in for the treatment. Also, if we are experiencing any discomfort during the procedure, our doctor can provide us with pain medication.

One session typically lasts between 30 and 90 minutes, depending on the area that we are treating.

After the treatment, we might experience mild redness of the skin, but generally, we can expect zero to minimal downtime.

Ultherapy is mostly used to treat the face, the neck, and the chest area.

You can start noticing the first results of Ulth​erapy within a few days, depending on your body’s ability to produce new collagen. Improvement typically continues for up to three months. The results will last as long as your body continues to produce new collagen and until the natural aging process takes over again.

Your provider, usually a physician or laser technician, will clean the areas they plan to work on of any oil or residue and apply an ultrasound gel. The Ultherapy device is placed against the skin, and your provider will use an ultrasound viewer to adjust the device to the appropriate settings. Ultrasound energy is then delivered to the targeted areas. You might experience quick, intermittent feelings of heat and tingling during treatment. Pain medication can be administered to address any discomfort. At the end of the procedure, the applicator is removed.

A single procedure can last up to 90 minutes, depending on the treatment. Ultherapy treatment on the chest takes about 30 minutes compared to the face and neck areas which can take 60 to 90 minutes.

Sensations of heat and tingling typically subside soon after the procedure.

The treated skin areas can sometimes become flushed or red in the hours after the procedure, and short-term sensations including tingling, swelling, and tenderness may occur. On rare occasions, there may be some bruising or numbness, but these typically go away within a few days of the procedure.

There is usually no downtime associated with Ultherapy. Regular activities such as work, exercise, or socializing can be resumed immediately after treatment.

You can start noticing the first results of Ultherapy within a few days, depending on your body’s ability to produce new collagen. Improvement typically continues for up to three months. The results will last as long as your body continues to produce new collagen and until the natural aging process takes over again. Based on your skin’s response to Ultherapy, you can decide if additional sessions are necessary.

With Ultherapy, there is no downtime. After your procedure, you can resume your normal activities immediately, without having to follow any post-treatment measures.

B. Platelet Rich Plasma (PRP)

Platelet Rich Plasma or PRP is a type of Regenerative Injection Therapy use to treat many soft tissue injuries (tendons and ligaments).

PRP involves taking blood from a vein in the arm and placing it into a special centrifuge. The platelets are separated from the rest of the components of the blood. The platelets are combined with a special substrate to enhance the effects. This is then injected into the injured or painful area. Once healing takes place, over the course of a few weeks, the pain should lessen.

No. Cortisone injections are a synthetic corticosteroid that are injected in the joints or areas of soft tissue to reduce pain and inflammation. While cortisone injections in limited amounts can be helpful, they do not alter the underlying cause (disease process) and therefore often have to be repeated. There are many documented risks of having “too much cortisone” and suppression of the immune system. PRP involves using the patient’s own blood which contain natural growth factors that promote regenerative of tissue and decreased inflammation. PRP is aimed at being a curative treatment, whereas cortisone is not. PRP does not carry the same side effects as cortisone.

Neck and back pain, , shoulder pain, rotator cuff injuries, knee pain, Knee bursitis, tennis elbow, golfers elbow, chronic ankle pain, Achilles tendonitis, hip bursitis.

A consultation is required before any treatment may take place. The consultation includes a comprehensive review of your complaints, medical history and a thorough examination will be conducted. Diagnostic studies will be reviewed and/or ordered at the time of the consultation to determine the cause of your complaint(s).  Often, other non-surgical treatments may be tried first. PRP is often just one element of a comprehensive treatment program.

While everyone’s pain tolerances vary, patient’s report a range of discomfort from mild to moderate with PRP injections. A needle is used to draw blood from a vein in the arm initially and then small needles are used to perform the actual injection(s).

 

This is no universal answer to this question. Typically 1 to 3 injections. Much of this depends on the chronicity and location of your problem. Some patients can successfully be treated with one injection while others require multiple injections over a time period to eliminate or reduce pain to an acceptable level.

Depending on the number of areas being treated, most procedures will be completed in 30 – 45 minutes.

This is different for everyone. Much depends on the underlying disease process and whether there have been a recurrent injury to the affected area. It is impossible to predict if and when further treatments will be needed for a specific condition. In some cases, patients do come back months or years later for repeat PRP injections.

As with any type of injection, there is a small risk of infection, injury to blood vessels and risk of bleeding. There is a small risk of injury to a tendon or ligament when injected. While not truly considered a side effect, many patients will experience increased pain or discomfort for a temporary period following the treatment. If you have been ill or running fever, it is advisable to discuss this with the physician before considering this type of treatment.

Although extremely rare, some patients may have an adverse reaction to their own serum. It is also possible to have a reaction to the substrate that is used.

C. Chemical Peels

A chemical peel, also called chemexfoliation or derm peeling, is one of the least invasive ways to improve the appearance of your skin. Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck and back.  Chemical peels produce controlled injury to the skin which promotes growth of new skin.

Chemical peels are used for the treatment of photo-aging (from sun damage), wrinkles, scarring, precancerous lesions, and discoloration (including melasma, freckles, and age spots).

There are numerous chemical peels and each one is performed differently. In general, chemical peels usually begin with vigorous cleansing of the skin, followed by application of the appropriate peel.

Most peels can be performed within a few minutes, depending on size of the area being treated.

The state of your skin after a peel depends on the type of chemical used and your skin type. Superficial peels have limited effects. Medium peels may cause some redness and the deeper peels may require 10-14 days to recover.

Generally chemical peels are done once every 2-3 weeks, until the desired results are achieved. Maintenance peels can then be performed once a month.

With good sun protection, results can last months, even years. This is dependent upon the depth of the peel. The deeper peels generally provide a long-lasting effect.

Superficial peels are quite safe, although minor irritation of the skin can occur. The risk of deep peels can include infection, scarring, redness, and discoloration. During a very deep peel (administered under the care of a physician only), anesthesia should be used and vital signs monitored.

  • Light Peels- The light peel takes approximately three to five days to complete the shedding process. No downtime required. 
  • Medium Peels- Medium peels usually persist for five to seven days. The skin may or may not flake and fall away. AHAs can produce some redness with little or no flaking, depending on the individual.
  • Deep Peels- May take several weeks to fully recover. This type of peel is usually effective in treating hyperpigmentation, acne scarring, fine lines, and wrinkles.

D. Filler Injections

Facial fillers are naturally occurring gels that are injected into the skin as a “filler” in order to add volume to aging skin, lips and to lift up wrinkles and folds. Most fillers consists of hyaluronic acid, which is a natural component of the skin. Once injected into the skin, fillers work by creating volume.

During treatment, the crystal-clear gel is injected into the skin in tiny amounts with a very fine needle. The gel produces volume under the wrinkle, which is lifted up and smoothed out. When enhancing lips or facial contours, Fillers add volume and shape to the treated area.

Treatment with fillers is a very quick and easy process. As no allergy testing is needed, the treatment can be carried out at the same time as the consultation. A treatment generally takes 5-10 minutes. The time differs somewhat, depending on the correction you wish to have performed.

Fillers can be used for smoothing out folds and wrinkles, lip enhancements and shaping facial contours. Commonly treated areas are the nasolabial folds (from the root of the nose to the angle of the mouth), the glabellar lines (between the eyebrows), the droopy mouth corners, and thinning lips, although other sites can also be treated.

Majority of people find the injections relatively painless, especially if an ice pack is used before the treatment. In addition, a local anesthetic injection is can sometimes be given.

The results can be seen immediately although they continue to improve for a few hours after treatment.

Immediately after the treatment, you can expect slight redness, swelling, tenderness or an itching sensation in the treated area. This is a normal result of the injection. The discomfort is temporary and generally disappears in a few days. Most of our patients can apply make-up the same night and have no need for recovery. After a lip treatment, the lips may become swollen and for a few days.

The rate of reactions to fillers is very low. However, after the treatment some common injection-related reactions may occur, such as swelling, redness, pain, itching, discoloration and tenderness at the injection site. These typically resolve spontaneously within a few days after injection into the skin.

The length of time the effect of a filler treatment lasts is very individual and depends on many factors, such as the structure of your skin, location of treatment, lifestyle, age, the degree of perfection demanded and the injection technique used. Fillers tend to last longer (up to 12 months) when placed in areas that have less movement, such as around eyes or cheeks. Around the mouth and lips, fillers typically last 4-6 months.

The correction will gradually disappear until your skin looks like it did before the treatment. Follow-up injections will help you maintain your correction.

E. LED Light Therapy

It visibly decreases acne, age spots, blemishes, coarse skin, a dull complexion, enlarged pores, fine lines, perinocular wrinkles, rosacea and skin laxity.

You’ll visit a trained skin care professional who follows precise treatment plans. Herein specific lights will cover the skin areas that are being treated. This will make your face feel warm and relaxed. Between four and six treatments, each one week apart, are necessary.

There aren’t any side effects. This is a completely safe treatment that’s FDA approved. However, you do need to be cautious when you use any other treatments or products along with photo rejuvenation. Furthermore, if you’re taking steroid or cortisone injections, are pregnant or have epilepsy, you’ll need to talk to your doctor before using light therapy.

A treatment takes 30 minutes to an hour. You’ll need to remove your makeup and apply a special product to help with the light therapy.

Yes, maintenance treatments are an important part of preserving visible results. Typically, they’re done once or twice a month unless your situation requires otherwise.

Your skin will look different after the very first treatment. It will be smoother, better hydrated and have a naturally radiant glow. Between three to five treatments will be needed for you to see long lasting results on those areas that are being treated. Of course, the condition’s severity and your own, personal skin type will help determine just how long results will take.

Maintenance treatments and a good, home skin care routine are necessary if you want your results to last.

Almost everyone benefits from light therapy. However, those who have a slow metabolism or sluggish cellular activity will have the greatest results.

While other treatments beautify the surface of your skin, light therapy strengthens and rejuvenates your tissue from the inside out. When these regiments are combined, you’ll get great results on both the inside and the outside too.

Yes, there’s no downtime. However, if you’re combining other treatments, then you’ll need to heed their advice.

You can go into the sun immediately. Light therapy won’t affect your tan, but you should be using sun tan lotion.

These treatments are gentle, painless and safe because they’re non-abrasive and non-invasive too. In fact, a lot of people not only find it easy to have done but also relaxing too.

Light therapy will calm Microdermabrasion’s after effects. This is the same with chemical peels. So, yes you can undergo either of these while having light therapy treatments.

LED light therapy will make your skin will feel livelier, plumper and tighter.

F. Microdermabrasion

Microdermabrasion is a non-invasive superficial exfoliation treatment that removes the uppermost layer of dead skin cells (stratum corneum.) 
The two methods of microdermabrasion are crystal and diamond tip.

First, the skin is thoroughly cleansed and steamed. Steam softens the upper layers of skin and opens the pores. Using a handheld device, a mild abrasion will be targeted to specific areas of the skin. Simultaneously, the device will vacuum up any excess crystals while stimulating circulation to the epidermal layers of the skin. This drives nutrients and oxygen to the epidermis, which is void of blood vessels.

The crystals are responsible for removing dead skin cells. This prevents bacteria and debris from being trapped under the surface and restores vibrancy to the skin. Combined, the treatment stimulates collagen and elastin production. It stimulates cellular regeneration and promotes blood flow to the epidermal layers of the skin.

Depending on the condition of your skin and the desired results, the number of treatments will vary. You should discuss your health history to determine if microdermabrasion is the best treatment for you. Your provider will determine your skin type and help you set reasonable and achievable goals. Be sure to ask about contraindications and before and after photos.

The most common treated area is the face and takes 20-30 minutes. The neck and other areas of the body are safe to treat as well, but will increase service time. A face, neck, and chest service usually takes 45 minutes.

Maintaining healthy skin or correcting fine lines and wrinkles, acne scars, hyperpigmentation (age spots and sun damage,) uneven skin tone, mild to moderate acne, oily skin, dull, lifeless skin, and aging skin.

Acne is a disease of the hair follicle and involves the sebaceous gland. Stress and other lifestyle factors cause sebum production to increase. When sebum is in excess, the calcium gradient is altered and stimulates the proliferation of cells.

The abundance of new cells accumulate in the neck of the follicle. Additionally, acneic skin has a reduced ability to slough and exfoliate. The excess sebum plus the abundance of cells cause the follicle to become inflamed and engorged with bacteria. (Imagine a cork inside of a wine bottle.)

As we age, we heal slower. MDA speeds up the healing process by exfoliating dead skin cells more aggressively than the body. Dirt and bacteria are no longer trapped under the surface. This reduces the number of breakouts that would normally occur.     

Pigmentation from acne break outs heal quicker because the treatment regenerates cells while removing the build up of skin.

Discontinue use of any and all exfoliating agents 7 days prior to your MDA. Do not wax the week prior to a microdermabrasion and do not smoke. Discontinue use of NSAIDS 7 days prior to service. Avoid contact with the sun for 7-14 days prior to treatment. Avoid scheduling an appointment if you are red or burned for 14 days.

The procedure is painless and quite comfortable. Your provider will cleanse the skin. Working counter clockwise, they will start with the right side of the forehead and finish with the left. Your skin may feel slightly itchy at first, but you will acclimate quickly. You may feel tender or sensitive around the eyes. 

Any excess crystals will be removed with a sponge or towel. Moisturizers and SPF will be applied to nourish and protect the skin. Initially your skin will feel a sensation of cleanliness and smoothness.

Safe for all skin types, MDA is a slow and progressive process. Without removing pigment from the skin, it can improve uneven skin tone and issues with pigmentation.

Working in the superficial layers of the skin, it can aid in the appearance of acne scars, fine lines and wrinkles, and skin texture. The treatment reduces build up of sebum and debris in the pores and can help reduce pore size over time. It also reduces acne breakouts and oil production.

One of the best no-down-time anti aging treatments on the market, microdermabrasion promotes the production of collagen and elastin and actually helps thicken the skin.

This depends entirely on your skin. For reparative treatments, we recommend every 10-14 days. Lighter treatments can be received as soon as 7 days apart. Our specialist will inform about this in the consultation session. 

You sure can! Your skin may appear red for a few hours after the service, but that will subside. The stimulation of blood flow to the upper layers of the skin causes the appearance of redness, and this is a good thing.

Cleanse your skin with a gentle cleanser twice daily. Apply a moisturizer and always wear your sunscreen. Even if you are just going to and from your car. Avoid direct contact with the sun for the first 48 hours. Avoid exposure to the sun for the first 7 days. A broad spectrum (covering UVA and UVB rays) SPF 30+ must be worn.

Discontinue use of exfoliating serums or scrubs for 7 days. Resume use of your clarisonic and vitamin containing serums after 48 hours. Do not pick or scrub the skin! If you have any visible cellular regeneration (flakiness) apply more moisturizer and massage lightly during cleansing to help speed this process.

Clients with any of the following conditions should not receive MDA: active rosacea, fragile capillaries or vascular lesions, active onset acne (acne pustules), warts, uncontrolled diabetes, open sores, active herpes outbreak or susceptibility to breakouts.

If you are/were on Accutane you must wait 6-12 months before a microdermabrasion.

The treatment is minimally invasive and safe. Most risks are a result of an unsanitary environment or implements.

Your provider should always be wearing gloves and using fresh gauze, sponges, and towels to cleanse the skin. The MDA tip should be sterilized before and after use. If you are coupling extractions with the service, the metal implement should be sterilized as well.

In some instances with more sensitive individuals, light bruising, persistent redness, scabbing, or mild peeling can occur. These symptoms will heal without any long term damage to the skin.

Microdermabrasion is a safe and common procedure.  Unlike laser resurfacing or chemical peels, this procedure is not traumatic and therefore there is no downtime to allow for healing and recovery.  But, as always, provide your full medical history and follow your pre and post-treatment instructions.

Yes. A few patients do notice their skin feeling tight immediately after the treatment as if the skin has been exposed to the sun or wind.  You might experience a slight dryness of the skin depending upon your skin type.  An effective moisturizer is applied after the treatment to prevent this drying of the skin.  The skin might appear slightly red for the remainder of the day.  Additionally, the patient is asked to refrain from using makeup on the day of the treatment to give the skin a chance to breathe and regenerate itself.

Initially, you may feel a very mild scratching sensation as the crystals make contact with the skin.  As the treatments continue, this experience compares to a deep massage.  Mild redness may occur for ½ an hour to one day depending on the aggressiveness of the program.

One of the advantages of Microdermabrasion is that it has no downtime.  You can return to your normal routine and apply cosmetics directly after treatment.

G. Mole Removal

Mole removal is requested by both men and women who are concerned about one or more moles on their body or face. Protruding moles for example can become irritated if constantly rubbed by clothes or caught when shaving. Many patients also request mole removal for cosmetic reasons if the removal will enhance their appearance. We have successfully treated many patients and can safely remove moles and blemishes from anywhere on the body or face,.

Mole and blemish removal will usually leave a small scar. However, any scars will fade dramatically over the first year following the procedure. When a mole is removed, the skin surface is damaged and therefore needs to heal. A scab will form which will usually heal within a couple of weeks as long as it is treated with care. There will then be some inflammation of the area, but this will settle down and disappear within a few weeks. How noticeable a scar is largely depends on the size and location of the mole, but essentially scars are minimal.

Mole removal is a very simple procedure and considered very minor surgery. Thousands of patients have moles and blemishes removed each year without any problems or complications. Before the procedure takes place, your surgeon will discuss any risks involved and the best treatment that suits your circumstances and the mole or blemishes in question. Your surgeon will explain the entire procedure from start to finish together with any after-care that may be required.

Mole removal is considered minor surgery and therefore recuperation time is almost zero. You may feel a little localised discomfort which can easily be relieved with painkillers. This discomfort should disappear after a couple of days, but your surgeon will discuss what to do should you have any discomfort or swelling that doesn’t disappear after a few days.

H. Sclerotherapy

Sclerotherapy is a medical procedure performed to eliminate spider or varicose veins. During the sclerotherapy procedure, a sclerosing solution is injected into the problem veins. This solution causes an irritation to the inner lining of the vein, ultimately causing it to collapse. Over time, the treated vein fades are absorbed and fade away enough to not be seen.

In general, the sclerotherapy procedure is an excellent choice as long as you aren’t pregnant or have a history of blood clots in the treatment area. Most vein specialists prefer sclerotherapy for spider veins over laser treatments, particularly on the legs.

A sclerotherapy procedure isn’t recommended if you have certain health conditions that may affect how the vein will respond to the sclerosing agent. If you have cardiovascular disease or had a heart bypass surgery, you aren’t a good candidate for treatment. This is especially true if you’re seeking treatment for spider veins, which is mostly a cosmetic concern. If you are pregnant or have a history of blood clots in the area, you also aren’t a good candidate for a sclerotherapy procedure. Furthermore, most vein specialists don’t use sclerotherapy for varicose veins very often, so if you have bulging varicose veins, you likely have a number of other treatments recommended to you.

After cleansing the area, your provider will use a very fine needle to inject the solution into the affected vein(s). After treatment, you only need a small bandage applied, much like after receiving a vaccine.

A topical numbing agent may be used in patients but is not necessary. If you are allergic to topical anesthesia, you can still receive sclerotherapy without numbing.

Sclerotherapy can be administered almost anywhere on the body as long as the veins aren’t very large, such as with advanced varicose veins.

After your sclerotherapy procedure, the treated veins do not return. However, we will also discuss with you lifestyle changes to help you prevent new spider veins and varicose veins from forming.

Sclerotherapy is considered safe for most patients. During your initial consultation, we will go over your medical history and examine your veins to determine if you’re a good candidate for treatment. This will include going over your medications, health conditions you’re currently being treated for, and any allergies you have. For most healthy patients, sclerotherapy is safe with only mild, short-term side-effects.

At Vein Specialists of the South and our sister practice Spa Medical, only vein specialists who are physicians, physician assistants, and nurses can perform a sclerotherapy procedure. Our practice is also a training facility, so our providers are not only experienced in treating patients, we teach others how to as well.

All medical treatments carry a certain degree of risks. However, side effects following a sclerotherapy procedure are generally very mild and well tolerated.

One of the great things about a sclerotherapy procedure is that it carries no downtime. You will be able to immediately return to your regular routine. We even encourage you to continue your normal fitness routine, as it will help speed along recovery.

Sclerotherapy cost varies from patient to patient. The cost to you will depend upon how much of the sclerosing solution is required to treat your visible veins. You may also require repeated treatments, which can also affect the cost.

The success rate of sclerotherapy remains steady at approximately 60 to 80 percent. In the 20 to 40 percent of cases where treatment doesn’t show full results after a single treatment, the sclerotherapy procedure can be repeated to improve your results.

After the provider administers the sclerosing agent, it will damage and scar the inside lining of the vein. This process is painless, so you won’t feel any of it as the vein ultimately collapses. The vein will close and fade over a period of a few weeks to months.

There is a little sting associated with each injection. The burning sensation lasts few seconds. Most individuals tolerate the procedure and do not require any type of anesthesia. The majority of patients claim that the procedure is much less than painful than what they anticipated.

Absolutely nothing. Spider veins are small veins which are entirely of a cosmetic nuisance. They do not form blood clots, they do not ache, and they do not cause swollen feet or pain. One may elect to observe them.

No, absolutely not. Sclerotherapy should never be done on the face and hands. The hand veins may not look pretty at times, but they should never be treated. Even though veins on the face are being done with sclerotherapy, the injections can be painful and the results are variable. If the facial veins are very conspicuous, laser is a better option than sclerotherapy.

Spider veins have no function and removing does no harm. The only reason they are removed is because of their unsightly cosmetic.

Almost anyone with unwanted spider veins can be treated, except women who are pregnant or nursing. Other relative contraindications include those with skin infections, uncontrolled diabetes, fever, history of deep vein thrombosis, anticoagulant therapy those patients taking corticosteroids.

No preparation is required before the procedure. It is recommended that one stop smoking and stop taking aspirin a few day before the procedure. Any patient on a blood thinner is not a candidate for sclerotherapy.

There is some mild pain which can easily be overcome with Tylenol. The injected site will appear bruised and swollen for a few days. Continual wearing of the ace bandaged will relieved the swelling and pain. The bruising usually disappears in 2-3 weeks. One will have no problem with walking. After the first 2 days, most patients can resume their normal activities.

Generally, most individuals have multiple spider veins and only up to 15-20 injections can be done at seating. Each treatment session lasts up to 30 minutes. After the treatment, sterile dressings are placed over the injection site and the entire leg is covered with an ace bandage. The ace bandage is left on for 2-3 weeks until the patient returns to see the doctor.

Sclerotherapy is an elective procedure and can be done whenever the individual wants to have it done. The procedure does not take more than 30-60 mins and can even be done during an office lunch break.

Treatment is done on an outpatient basis during convenient office hours. You can resume most activities shortly after each session.

Besides some stinging pain, sclerotherapy can rarely cause a few side effects. Allergic reactions are rare. A few individual may develop intense itching at the site of injection. If the chemical is injected outside the vein, profound discoloration and pain can occur.

ThermiRF

ThermiRF is a new technology that uses radiofrequency energy to treat tissue below the skin, rather than addressing the problems on the surface of the skin. The procedure stimulates collagen growth over time, so its effects might not be seen immediately. It is used for contouring, treating wrinkles and sagging skin, as well as being used to reduce vaginal laxity. It can also be used to reduce sweating in underarms.

People looking for more results than they’re getting from non-invasive procedures — but who aren’t ready for surgery for such things as tightening jowls and rejuvenating the face, neck and abdomen — or who want to reduce the activity of the muscles that form lines in the forehead may be good candidates for ThermiRF.

It uses a tiny probe with an electrode at the tip that emits tiny burst of radiofrequency energy when inserted through a needle hole in the skin.

The most common side effects include swelling and bruising that can last for a few days. In some cases, numbness in the treated area occurs for a few days.

ThermiRF treatments will begin showing visible results in about six weeks, with maximum improvement shown after four months. The results are expected to last from two to four years.